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  • With Mayo Clinic diabetes educators

    Nancy Klobassa, R.N., and Peggy Moreland, R.N.

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  • Dec. 18, 2008

    Welcome to the diabetes blog

    By Nancy Klobassa, R.N., and Peggy Moreland, R.N.

337 comments posted

Diabetes is the 7th leading cause of death in the United States, and according to the American Diabetes Association there are 23.6 million children and adults in the United States, or 7.8 percent of the population, who have diabetes.

Unfortunately, 1 out of every 4 people who has diabetes is unaware. Uncontrolled diabetes can lead to serious complications, such as blindness, kidney damage, heart disease, and lower-limb amputations. Persons with diabetes can decrease their risk of complications by controlling their blood glucose, blood pressure, and cholesterol.

With your help, we hope we can increase awareness and find ways that you can help each other manage your disease.

If you're already managing diabetes, you know it can be time consuming.

The daily routines of diabetes self-management involve foot care, exercise, carbohydrate counting, self-monitoring of blood glucose, oral medications, insulin, or even a combination of oral medications and insulin.

Here are some questions for you:

  • How much time do you spend managing your diabetes every day?
  • Have you ever been tempted or even tried taking a vacation from your diabetes self-management?
  • If so, what happened if anything, and what did you learn from the experience?

We look forward to you sharing your responses with us. Welcome to the blog.

- Nancy and Peggy

337 comments posted

blog index
  • May 1, 2009 3:32 p.m.

    Misty Joyce - We highly recommend that you see your healthcare provider for a referral to an endocrinologist and possibly a specialist in eating disorders.

    - Nancy and Peggy

  • May 1, 2009 11:01 a.m.

    Glucose in the urine: Is not used to make a diagnosis of diabetes and poorly correlates to your actual blood glucose and also depends on your kidney function. If you have concerns that you may have an elevated blood glucose, ask your healthcare provider to order a fasting plasma glucose test to confirm diabetes.

    - Nancy and Peggy

  • April 30, 2009 2:23 p.m.

    Recently, I was diagnosed pre diabetic. Is there a specific diet recommended for this condition. Nancy

    - coednan@yahoo.com

  • April 29, 2009 7:51 p.m.

    What are good and bad numbers for testing purposes? Dr. didn't give any indications.

    - Alice

  • April 29, 2009 11:22 a.m.

    I have just been diagnosed with pre diabetes. My doctor prescribed Metformin Hcl along with diet and exercise. My question is should I be monitoring my blood sugar levels myself? I already have cardiovascular disease.

    - Bonnie

  • April 28, 2009 5:25 p.m.

    If glucose was found in your urine sample,is that mean you have diabetes?

    - No name given

  • April 24, 2009 9:01 a.m.

    I have two comments. The first involves another blog quesiton about Valley Fever. My husband found he had diabetes 2 after valley fever. I often thought it was related in someway. But the Doctors said no. I am diabetic 2 since January, 2000, but probably had it for sometime longer. I am very good about taking care of myself and as of yet have been able to keep it under 6, without medication. My major problem is weight--it goes up and down and I often take vacations from management especially when it comes to exercise! But lately I am having involuntary muscle cramps in my feet and calfs only at night. I had my artiers checked and was given the high sign. Is it related to diabetes? Why? What do I do?

    - MSV

  • April 23, 2009 10:24 p.m.

    I was diagnosed with type2 diabetes a year and a half ago. Before my diagnosis I was never one to eat sweets, I would much rather have a hamburger. Now it seems I cannot think of anything but sweets. It is like I crave them all the time. I have stopped drinking Pepsi and take my meds everyday but my doctor says she doesn't know why my sudden craving for sweets.Has anyone else had this problem?

    - Debbie Moore

  • April 23, 2009 1:28 p.m.

    Dear vegetarian with pre-diabetes. You should be able to eat just about anything you are currently eating. If you are over weight, try to shed a few pounds (a 10 # weight loss can make a significant differance in your blood glucose readings. You may want to see a dietitian about what foods are carbohydrates, portion sizes, and how to spread out the carbohydrate foods evenly through the day for more level blood glucose control.

    - Nancy and Peggy

  • April 23, 2009 7:50 a.m.

    i have no family doctor and have not seen a diabetic speacialist, i have had type 1 diabetes for 5 yrs. and have been hospitalized 16 times for keto acidosis and diabetic coma twice and i have just admitted to having an eating disorder in am in ontario canada if anyone is reading this and knows any good treatment facilities that specialize in this please post a message

    - Misty Joyce

  • April 22, 2009 5:25 p.m.

    HELP!!! I am a vegetarian with borderline diabetes! What can I eat?

    - Dawn

  • April 22, 2009 8:48 a.m.

    Interesting

    - Roger

  • April 20, 2009 3:21 p.m.

    Blood pressure control is important to protect the kidneys. Ace inhibitors help lower your blood pressure. For more information on Ace inhibitors, type "Ace inhibitor" in the search box of this web site. For further questions or concerns on this matter contact your healthcare provider.

    - Nancy and Peggy

  • April 20, 2009 1:44 p.m.

    Diabetes warning signs: Excessive thirst, frequent urination, other symptoms may include; constant hunger, unexplained weight loss, weight gain (mainly type 2), weakness, fatique, blurred vision, slow healing cuts, tingling or loss of feeling in hands and feet. recurring infections (gums, skin, vaginal, bladder) If any of these symptoms occur contact your healthcare provider.

    - Nancy and Peggy

  • April 20, 2009 1:41 p.m.

    My boyfriend has only one kidney and is taking an ACE inhibitor in the readings I've done it says it may damage kidneys. Does anyone have a place where I can go to get more info?

    - Kelly

  • April 20, 2009 1:36 p.m.

    Dear bloggers, A diagnosis of diabetes is made if there is 2 fasting blood glucoses taken in a row over 126 mg/dl or a random blood glucose reading over 200 mg/dl, taken any time during the day.

    - Nancy and Peggy

  • April 15, 2009 5:14 p.m.

    Hind Sami: I saw your message. I just got my glucose level today and it is 305 mg/dL . I know that it is extremely high but I am not quite sure what it really means. Which websites can help me what types of foods will lower my level and do I have diabetes? I plan to make an appointment with my doctor but what types of recommendations do you have? Anyone????

    - Lucia Osorio

  • April 13, 2009 4:04 p.m.

    I don't want to perish for a lack of knowledge as God's word says. I have been having pain at the tips of my two middle fingers for a while on and off. Also my baby toe and the one next to it are numb sometimes. My big toe itches from inside very badly and sometimes I itch all over really bad. I prayed to have a thirst for water and maybe that is the reason I am so thirsty now. I call my daughter to bring me something to drink immediately because the thirst comes on so fast. I do take medicine for high BP and am overweight nor do I exercise:-( I would appreciate comments. gratefully, diane~

    - Diane

  • April 13, 2009 9:56 a.m.

    To the person with the sore heels, I have the same thing in one foot only. The doctor said this was Plantar Fasciitis. Don't have shots in the foot unless they put you to sleep, as the pain is so bad, you could pass out. I have been a type 2 diabetic for 18 years, maybe longer as I found out when I went to the doctor for a yeast infection and he checked my sugar and there it was, about 300. By now I take two 5mg Glipizide tablets, morning and night, and 15 units of Lantus insulin at dinnertime. Lantus is good as it is time release, so your morning should turn out the way it should. I have neuopathy in my feet and legs and take gabepentin for that. I have read bad things about Metformin and Avandia, so I just take the tried and true Glipizide. Sugar is suppose to go into the cells of the body, not the urine. That's what Glipizide does. I have stopped making my own insulin which is also suppose to go in the cells, so I take the insulin and my pills take it along where it goes. I'm not picky about how low my sugar is. The doc said as long as it's not over 120 in the morning, that's good. The important thing is don't snack after dinner. Eat a good healthy dinner and leave the junk food alone Good luck everybody!

    - Barbara

  • April 10, 2009 10:33 p.m.

    I HAVE BEEN HAVING EXTREME PAIN IN MY HEELS CAN BARELY WALK WHAT IS THIS? MY SHOES FIT FINE AND USING GELS BUT NO RELIEF AM I A DIABETIC AND HOW DO I FIND OUT...huertabilly2000@yahoo.com

    - BILLYANNE

  • April 8, 2009 8:35 a.m.

    Does anyone here understand the dawn syndrome? Lately, for the past five or six weeks, I am waking up with abnormally high sugar levels for the first time since diagnosed, a year and a half ago. For that time, I always had between 85 and 99 in the morning, upon rising, fsting. Now, I am having 110-115. Is there anyone here, who knows, who can explain?

    - Frank

  • April 5, 2009 6:02 p.m.

    about 5yrs ago i became a diabetic my blood sugar was 638 andi didn"t even know i thougt i had a summer time cold so after five days i went to the hospital.nurse took me in the back did some test on me.then she ran my sugar,then she told me to go get register then she ran told to get in bed they hook up iv to me with insulin after that i try to take my sugar watch my diet still their are times i feel the effects tired hungery i thank god im still alive and well so anyone thinks they have it go get check out

    - george

  • April 4, 2009 8:40 p.m.

    I have known I had type 2 diabetes for 9 years, I have egnored it untill the last year.I have taken metforman for about a year. My Dr. has been on me about my a1c. In the past 5 mounts I have gone on levemer pen, and a week ago I started byetta. I am dieting, exercising and loosing weight, but my blood sugar is still high.

    - auntconcon

  • April 3, 2009 3:07 p.m.

    I have recently had a physical and my BS came back 138. This really frightened me because my parents were both insulin dependent diabetics. I immediately went on a low carb diet and have been checking my BS at work. My last was 112 2hr after breakfast. Has anyone had any luck without being on medication and just losing weight. I have lost about 10 lbs and would like to lose another 20.

    - Kathleen Glacken

  • April 3, 2009 11:30 a.m.

    can insulin dependent diabeties be brought on by valley fever?

    - west d

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